Inspection on 27/10/05 for Rosehill Rehabilitation Unit

This inspection was carried out on 27th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rosehill Rehabilitation Unit 23/01/08

Rosehill Rehabilitation Unit 08/02/07

Rosehill Rehabilitation Unit 04/05/05

Rosehill Rehabilitation Unit 11/11/04

Rosehill Rehabilitation Unit 06/05/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

12 Orchard Mews

Stallcombe House

Stepping Stones

Cornerstones

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Rosehill Rehabilitation Unit Lower Warberry Road Torquay Devon TQ1 1QY Lead Inspector Rachel Proctor Announced 27 October 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosehill Rehabilitation Unit Address Lower Warberry Road, Torquay, Devon, TQ1 1QY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 291909 info@craegmoor.co.uk Parkcare Homes Limited Mr Terrence John Beverton Care Home 27 Category(ies) of Physical disability (27) registration, with number of places Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04/05/05 Brief Description of the Service: Rosehill Rehabilitation Unit provides rehabilitation nursing care for Service Users who have traumatic brain injury. The home is part of Parkcare homes limited, which is a member of Craegmoor Group limited. Rosehill is about half a mile from Torquay. It is registered for 27 Service Users. The home chooses to provide single room accommodation, which reduces their maximum occupancy to 18 Service Users. The home employs registered nurses, physiotherapists and occupational therapists. A 1st level Registered Mental Health nurse with several years experience manages the team. This includes 1st and 2nd level Registered General nurses and Health Care Assistants with a National Vocational Qualification in care. A local general practitioner with a special interest in Traumatic brain injury is available. A specialist nurse practitioner in acquired brain injury provides professional support for the registered nurses. The home has a comprehensive assessment and care planning system. Developed in conjunction with the wider multidisciplinary team. The accommodation is spread over three levels, ground, mezzanine and first floor. The home has an equipped physiotherapy gym, a specially adapted domestic kitchen for assessment purposes as well as the homes main kitchen and laundry area. Specially adapted bath shower rooms and toilets are available for disabled Service Users, including independent wheel chair users. A shaft lift is available to Service Users areas. The grounds are wheelchair accessible and have ramps and grab rails provided for Service Users use. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The commission for social care inspection has introduced key standards to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. This was an unannounced inspection, which took place on the 27th of October 2005 between 9:30 a.m. and 4 p.m. the inspector spoke to residents and staff on duty. The lunchtime meal was shared with the residents. A tour of the home was completed and some records were inspected. Eight residents comment cards were received prior to the inspection, all indicated that they liked living at the home the staff treat them well and their privacy is respected. Four relatives comment cards were received some before the inspection and some after; comments made have been incorporated into the report. What the service does well: What has improved since the last inspection? What they could do better: Although the majority of the home has been redecorated and new carpeting provided, some furniture still requires revarnishing to improve the way it looks. This detracts from otherwise improved the environment for the residents. The flooring directly under the disinfecting washing machines has not been replaced when the laundry floor flooring was renewed. This may pose a cross infection risk and should be replaced. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, The residents at Rosehill Rehabilitation Unit can have confidence that their care needs will be comprehensively assessed by a friendly, competent and supportive staff team who have their best interests at heart. EVIDENCE: Four residents’ plans of care were viewed. Two of these residents had recently been admitted to the home. Their assessments included comprehensive risk assessments for their health, personal and social care. One resident who had had challenging behaviour in the past had an assessment, which identified the triggers for the behaviour. A plan of care, which comprehensively covered the assessed needs of the resident, had been put in place. Copies of the multi disciplinary team assessments were also provided with the resident’s plan of care. The physio explained how she assessed the resident’s ability and developed a plan of treatment to encourage them to achieve their optimum function. One resident who was case tracked had been at the home at the previous inspection. This resident had assessments completed which identified their improvement over the preceding months. This resident appeared more confident than they did at the last inspection and told the inspector who were looking forward to moving on. The training co-ordinator advised that the residents’ care plan documentation had been reviewed and updated in conjunction with a brain injury specialist. More information and assessment processes had been added to the documentation, which covered all aspects of the residents’ care. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,9,10, The residents’ personal goals and changing needs are supported in a way that encourages independence and respects confidentiality by a staff team who had their best interests at heart. EVIDENCE: A new audit system has been introduced for reviewing the residents’ care plans monthly. Five residents’ plans are being reviewed/audited each week. The training co-ordinator advised that this process would be used to train staff as well as ensuring the residents’ plans of care are reviewed and up dated on a regular basis. These monthly care plan reviews are in addition to the formal six monthly reviews carried out with the resident their family and the multidisciplinary team. Risk assessments are an integral part of the care planning process in use at Rosehill. As well as environmental risk assessments the activities the residents choose to undertake are risk assessed to ensure they have the opportunity to make an informed choice i.e. smoking and going out shopping. Data protection information is now readily available for staff in the office. Policies and procedures are also in place to guide staff. Residents and their families can have access to the homes policies on request. Individual residents’ records are accurate, secure and confidentially kept. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15,17 The residents have opportunity to develop personally and are encouraged to achieve the optimum independence by a skilled staff team. EVIDENCE: The manager advised that some of the residents attend Brixham community college and a member of staff from the home supports them. The courses they are completing include computing, cookery and pottery. The manager confirmed that family contact is encouraged and families often go on trips out with the residents. He also advised that an advocacy group was being set up. Two of the residents from the home were actively involved, which would enable them to influence the activities provided. The clinical manager advised that a community dietician had completed an assessment of the nutritional content of meals provided. The report made recommendations for improvement, which the inspector was told of being implemented with the chef. New menus were in the process of being developed as a result of this. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 11 The clinical manager advised that two of the residents were preparing their own meals. This was to enable them to learn life skills that will enable them to eventually live independently in the community. One of the residents who had prepared their own food for the lunchtime Meal was spoken to. They advised that they had completed the food shopping and chosen the food they wanted to prepare for the meal. One resident spoken to advised that staff had enabled visits to the shops and horse riding. A member of staff was overheard booking the next horse riding session for this resident. During the inspection some of the residents attended the local swimming pool with members of staff. The physiotherapist confirmed that she had been able to assist the residents with exercise during the time they spent in a swimming pool. The lunchtime meals served during the inspection was attractively presented and nutritionally balanced. Very little wastage was seen at this meal. The residents asked said they enjoyed their lunchtime meal. ` The staff observed assisting the residents to eat their lunchtime meal were doing so in a friendly discreet manner. Other residents were being encouraged to eat by the staff, the residents plates were not taken until the staff member had asked the resident if they had finished. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20, The residents receive personal support that meets their physical, emotional and health care needs in a way they prefer and require. EVIDENCE: Each of the three residents’ plans of care viewed had comprehensive care planning to address their needs. The care plans included physical, psychological, social and health care needs. Psychological profiles were part of these residents care plans. This enabled the care provided for the individual residents to be targeted to their needs. The staff team at Rosehill Rehabilitation Unit includes physiotherapists, occupational therapists, registered general nurses, registered mental health nurses and health care assistants. The community multidisciplinary team also supports them. Each of the plans of care contained six monthly reviews. The reviews were attended by staff at the home involved in the resident’s care, the residents, their representative and where appropriate members of the multidisciplinary team. Aims and objectives for the coming six months were set at these reviews. One of the reviews seen during inspection identified how the resident had improved since the last inspection. Their aims and objectives were working towards the resident achieving their optimum level of independence, which would enable them to move on. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 13 Reference material for staff relating to the health problems/diseases the residents had were available in the office. These included infection-control, tissue viability, Koskys syndrome and Huntingtons disease. Specialist nurse links had been developed. Speech and language therapy, chiropody and visits to hospital consultants had been recorded in the residents care plans. The physiotherapist appointed since the last inspection was developing individualised programs for the residents. Examples of these were seen during the inspection. The training coordinator advised that the new care planning system had been developed with a brain injury specialist from the local hospital trust. These care plans provided an easy template for the staff to complete which identified the residents care needs and how staff should provide them. Each of the care plans had elements of personal development, which the resident was working towards to enable them to achieve the optimum independence. The registered nurses in the home are due to start a training program for brain injury rehabilitation in November. The training coordinator advised that this was part of their research practice development. She further advised that information gained through completing the course would be disseminated to other staff. The residents’ medication continues to be stored in a locked treatment room and the medication in use stored in a locked trolley. The medication records for three residents who were case tracked had been completed and signed as required. The new system for disposal of medication no longer required had been introduced since the last inspection. Discussion took place around the practicalities and risks of storing this until it was collected. A record of drug returns/disposal had been completed and signed by two staff. Reference material regarding medication and medication practice included a Mimms, BNS, and drugs guide. The inspector was also advised that the supply pharmacist offered advice and support to the home. The inspector was told that all the registered nurses employed were in the process of completing a distance-learning course for handling of medication. In-house medication training has also been used for other staff employed. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The residents at Rosehill can have confidence that their views will be listened to and their concerns acted on by staff team who will treat them with respect. EVIDENCE: The complaints policy is easily available for residents and staff at Rosehill Rehabilitation Unit. A record of complaints received and actions taken is kept. The inspector was advised that complaints or issues are recorded in the resident’s file as well as the complaints folder. The residents asked said the staff are friendly and supportive towards them and took their concerns seriously. This supports the staff listen and act on the views and concerns of the residents and others before they develop into problems in formal complaints. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30, Some of the floor coverings and furniture dont look as fresh as they could. This detracts from an otherwise pleasant homely environment for the residents. EVIDENCE: The redecoration and refurbishment of the homes environment has continued since the last inspection. Some redecoration of communal areas and individual rooms has been completed. Residents being assisted to increase their independence and ability to self-care are using the four room unit, which has a separate lounge, and specially adapted kitchen. Manual handling equipment including hoists, which were easily available in the home. The dates when these had been serviced were provided as part of the pre-inspection questionnaire. Disinfecting sluices are available on both floors where the residents are housed. However some concerns were raised that the sluices purchased did not fully clean as well as sterilise and staff had to manually clean commode pots before putting them into the disinfecting sluice. The manager advised that he had asked the company for a different type of sluice machine for the home. Hand wash facilities were available in the ground floor sluice however Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 16 the storage of clinical waste bags in the sluice room made it difficult for staff to reach the hand wash sink. The laundry room has had a new floor laid since the last inspection, which is easily cleanable. However a small area under the washing machines had not had the flooring replaced, dust had collected at the sides and in front of the washing machines. A wooden cover covering the pipe work had not been painted to make it easily cleanable. The home was fresh and clean smelling in all areas entered during the inspection. Attention had been paid to the cleanliness of the residents rooms, wash hand basins and the disabled bathrooms and toilets they have access to. The home has an infection control link nurse and staff have received infection control training. One of the four comment cards received from relatives indicated that the dining-room tables arent always clean. During the inspection the tables were clean and any spillages were being wiped away by the staff attending to the residents during the lunchtime meal. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 36 The residents at Rosehill benefit from a well supported and supervised staff team who are appropriately trained to meet their care needs. EVIDENCE: The inspector was shown the revised induction programme being introduced by the organisation. The training coordinator advised that is three staff recently appointed were working through this. The induction programme has been written in a way to enable all grades of staff to use it. The induction programme takes six months to complete and staff are given a certificate when they have completed it. The training coordinator provided information on how she was taking forward the training of staff within the home. She advised the staff appraisals included a training and development plan were being used to ensure training was targeted to help staff improve their practice. Examples of the training packages put together by the training coordinator were available for inspection. These showed that the training provided is geared towards the needs of the residents. Staff have access to information relating to the disease processes/illnesses the residents have. The new system of supervision has been introduced since the last inspection, which is linked to the appraisal of staff. Templates of the new system were Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 18 provided for inspection. The training coordinator confirmed that all staff have supervision records in place. The staff rota identified the numbers of staff on duty during the 24-hour period. More staff were on duty at peak times. The registered nurses provide 24-hour cover for the resident’s health care needs. The manager advised that the staffing numbers are reviewed when the residents dependency changes or when a new residents is admitted. The inspectors saw staff sitting in the lounge with residents during the inspection; they were encouraging them to interact with them and each other. The clinical manager confirmed that he encouraged the staff to spend one-to-one time with the residents who required this. One residents comments card indicated that they did not feel the staff were always appropriately deployed within the home. The inspector was unable to verify these concerns during the inspection. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 42 The residents are unable to maintain their individuality; clear care planning enables the residents’ best interests to be safeguarded. The residents have benefited from a clear commitment to improve the environment they live in. EVIDENCE: A quality assurance system is in place, questionnaires completed were available. The manager provided the results of an internal audit and the health and safety audit completed for the home. The resident meetings have continued since the last inspection enabling them to influence the way the home is managed. Maintenance work has continued since the last inspection, ongoing repairs and renewal are continuing. Some outstanding repairs and renewals have still to be completed however the majority of this has been completed since the last inspection. The manager confirmed that major refurbishment is planned for the home to make it a better environment for the residents to live and staff to work in. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 20 The pre-inspection questionnaire provided confirmation that equipment is maintained and service and staff receive the training they need. A record of staff manual handling training, fire safety and health and safety management were provided. A written statement of the policy, organisation and arrangements for maintaining safe working practices is available for staff. Comprehensive risk assessment processes are in place to ensure that risks to the residents or staff are reduced. Individual residents had their preferred activities risk assessed to enable them to make informed choice. Environmental risk assessments covered hot water, legionella risk assessments and fire precautions. The accident records were provided and actions taken to address any problem areas identified were recorded. A new induction programme had been developed by the organisation since the last inspection. Examples of this were provided. The training co coordinator confirmed that the induction programme follows TOPSS guidelines and is linked to a new award in care services. Three staff who had been employed since the last inspection were in the process of completing the new style induction programme. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosehill Rehabilitation Unit Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP24 OP30 Good Practice Recommendations General maintenance and repairs of the environment should continue. Flooring under the washing machines should be cleaned and made easily cleanable. The sluices provided in the home should have the facility to clean as well as disinfected. Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Unit Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rosehill Rehabilitation Unit D54-D07 S28792 Rosehill Rehabilitation Unit V242203 271005 Stage 4.doc Version 1.40 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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